What attributes influence rural household's willingness to get vaccinated for COVID-19? Perspectives from six Chinese townships.

Since the onset of the COVID-19 pandemic, vaccinations have been identified as the most effective mitigation strategy against the deadly virus. This has led developed nations to accelerate research and shorten the licensure process for COVID-19 vaccines, but these changes have caused widespread concerns about vaccine safety. Research literature has long indicated that citizens' perceptions of protective actions will determine their behaviors, and thus, the relationship between vaccine perception and vaccination intention needs to be assessed. To better understand vaccination willingness, especially in rural populations, this study surveyed 492 households from six townships in the Ya'an region of China's Sichuan Province in November 2020. The survey followed the Protective Action Decision Model (PADM) framework for collecting perceptions about the influenza and COVID-19 vaccines as protective actions, information sources, emergency preparedness, emotional response, and demographic characteristics. The results showed that influenza vaccine perceptions significantly affected people's COVID-19 vaccination perceptions and intentions. Unlike previous vaccination willingness and other COVID-19 studies, this study found that perceptions of resource-related attributes and health-related attributes both affected COVID-19 vaccination intentions, but the former were slightly stronger than the latter. Moreover, these effects were strongest among respondents who had the most positive perceptions of their influenza vaccine experience. This study's findings will benefit local authorities in designing appropriate policies and measures (e.g., hazard education, risk communication, vaccination convenience enhancement) for increasing vaccination compliance for the current and future pandemics.

Emergency Evacuation and Sheltering During the COVID-19 Pandemic

Fundamental shifts in preparedness planning are needed to ensure health, safety, and smooth operations during emergencies in the context of the COVID-19 pandemic. To prepare for emergency events requiring evacuation, it is necessary to revise shelter planning and mass care operations, shelter staffing, and shelter design and operations with a focus on reducing virus transmission and ensuring safety. Developing effective public messaging is also critical during the pandemic and requires advance planning and familiarity with the needs and characteristics of the communities being served. This rapid expert consultation details what is known from research on evacuation behavior, social responses to disaster, and risk communication, as well as lessons learned from emergency managers, public health departments, local officials, and human service providers, as the second year of the pandemic unfolds. It includes strategies for (1) evacuation plans, (2) sheltering operations, and (3) risk communication best practices for public officials confronting hazards and disasters. The Societal Experts Action Network (SEAN) is an activity of the National Academies of Sciences, Engineering, and Medicine that is sponsored by the National Science Foundation. SEAN links researchers in the social, behavioral, and economic sciences with decision makers to respond to policy questions arising from the COVID-19 pandemic. This project is affiliated with the National Academies' Standing Committee on Emerging Infectious Diseases and 21st Century Health Threats.